The step-by-step Guidelines to Doctors, nurses and hospitals for Ebola incident management , released by the Greek CDC

By reminding to all the doctors and the nurses of the country that many of the signs and symptoms of Ebola are non-specific and similar to those of many common infectious diseases, the Greek Centers for Disease Control and Prevention (HCDCP), the Greek Ministry of Health and the National Health Operation Center  haven timely encouraged the Greek hospitals to prepare for managing patients with Ebola and other infectious diseases.

Every hospital, according to the updated Circular of the Greek CDC, (KEELPNO/ HCDCP), should ensure that it can detect a patient with Ebola, protect healthcare workers to safely care for the patient -by precisely following the Greek CDC updated released Guidelines- , and respond in a coordinated fashion.

Transmission can be prevented with appropriate infection control measures.

The practical and theoretical training of health professionals groups of the Greek National Hospitals and other officers will be complemented by the special training teams for Ebola Response of the Greek CDC, (KEELPNO / HCDCP ) and the National Health Operation Center, notifies the Greek CDC, adding step by step the procedures that should be followed.

According to the Greek CDC circulate, “if, suspect for investigation or probable case of Ebola is addressed, (based on the definitions of ECDC), to the outpatient clinics or to any national or private clinic of the country….” , the administration of the Hospital or Clinic and its medical staff are obliged to follow the procedures below:

a) The medical staff team of the clinic or Hospital has to be notified, or the administration or the medical staff in charge for Ebola Response.
b)The suspect of the incident has to be transferred as soon as possible to an isolated chamber, preferably close to the outpatient clinic.
c) The ambulance has to be immediately alerted, to transport the incident.
d) The Greek CDC, ( HCDC/KEELPNO) has to be notified immediately, also, and the National Health Operation Center.
e) individual staff, or other patients in the waiting or examination room, that might have come into contact with secretions of the suspect incident, have to be identified and disinfected.
f) In case the suspicious incident is in need of medical or nursing care (in the isolated chamber) until the arrival of the ambulance, care must be provided exclusively by the member or members of the Task Force medical staff of of the Hospital or Clinic.
g) If the suspected case is accompanied by relatives, friends, or other individuals , these persons have also to undergo a medical and contact history interview until the arrival of the ambulance and the Special Unit of the Greek CDC, (HCDCP/KEELPNO) a special place.

Although it is estimated that the risk of spread of the disease in Greece is small, and even though Greece is not included in the list of Ebola high Risk countries, the aim of the Greek CDC and the Greek Ministry of Health is to provide Full Information and Awareness to all the medical staff and nurses of the Hospitals of the country for the appropriate and safe  management of an incident.

The Greek  CDC, HDCP, keeps underlining and reminding that in case of suspected hemorrhagic fever,

the suspected case should be indicated by immediate declaration statement to KEELPNO.

All necessary measures should be taken for the prevention of the spread of infection.

Samples from the patient taken and sent for laboratory confirmation to the First Department of Microbiology, Aristotle University of Thessaloniki.

Suspected hemorrhagic fever should be placed in case if a  patient with conventional clinical picture and history of travel to areas that have reported outbreaks of the disease, taking into account the incubation period of 21 days, the history-of-contacts-and travel report and any report of unprotected direct contact with blood, secretions, or other body fluids of patients diagnosed with hemorrhagic fever or infected animal.

A  couple of public hospitals, among them the Amalia Fleming in northern Athens, have been put on standby to deal with an Ebola outbreak in Greece while medical specialists have been dispatched to the country’s main entry points in a bid to contain possible arrival of the deadly disease, authorities said Friday.

Thermal cameras have been put at the airports even though Greece has no direct flight and  visitors traveling from high-risk countries would be asked to fill in a questionnaire aimed at helping authorities filter out high-risk cases.

Posters have already been placed in Greek airports providing information, in Greek and English, about the Ebola virus.

KEELPNO has issued a warning against travel in Liberia, Guinea, Sierra Leone and Nigeria.

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